MCKENZIE BOURQUE

PHILADELPHIA, PA
NPI1417634866
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: PA  PS019921)
Enumeration Date2023-06-28
Last Update Date2023-06-28
Business Address
MCKENZIE BOURQUE
3550 MARKET ST
PHILADELPHIA, PA 19104-3329
Phone number: 267-624-3493
Mailing Address
MCKENZIE BOURQUE
2226 S MILDRED ST
PHILADELPHIA, PA 19148-3110
Phone number: 518-207-5432